| Autor: |
Kanika Malik, Maliha Ibrahim, Sonal Mathur, James E. Jose, Pooja Nair, Rooplata Sahu, Madhuri Krishna, Deepak Jangra, Rhea Mathews, Pim Cuijpers, Bruce Chorpita, Christopher G. Fairburn, Vikram Patel, Daniel Michelson |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
|
| Zdroj: |
Cambridge Prisms: Global Mental Health, Vol 9, Pp 521-525 (2022) |
| Druh dokumentu: |
article |
| ISSN: |
2054-4251 |
| DOI: |
10.1017/gmh.2022.7 |
| Popis: |
Abstract Background The ‘PRemIum for aDolEscents’ (PRIDE) project has developed a school-based, transdiagnostic stepped care programme for common adolescent mental health problems in India. The programme comprises a brief problem-solving intervention (‘Step 1’) followed by a personalised cognitive-behavioural intervention (‘Step 2’) for participants who do not respond to the first step. Methods A mixed-method design was used to evaluate the acceptability and feasibility of the stepped care programme in five schools in New Delhi. Participants were N = 80 adolescents (mean age = 15.3 years, females = 55%) with elevated mental symptoms and associated distress/impairment. Results 61 (76%) of the enrolled sample were assessed following Step 1, from which 33 (54%) met non-remission criteria. Among these 33 non-remitted cases, 12 (36%) opted for Step 2 and five (42%) completed the full programme. The remaining non-remitted cases (n = 21, 64%) opted out of further treatment. Perceived resolution of the primary problem (n = 9, 43%) was the most common reason for opting out. The median time to complete each step was 22 and 70 days respectively, with a gap of 31 days between steps. Qualitative feedback from adolescents and counsellors indicated requirements for a shorter delivery schedule, greater continuity across steps and more collaborative decision-making. Conclusions This study provides preliminary evidence for a stepped care programme aimed at common adolescent mental health problems. Modifications are recommended to enhance the acceptability and feasibility of the programme in low-resource settings. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
|
